Health Insurance (Section 3C Diagnostic Imaging Services – National Lung Cancer Screening Program) Determination 2025
made under subsection 3C(1) of the
Health Insurance Act 1973
Compilation No. 1
Compilation date: 1 July 2025
Includes amendments: F2025L00773
About this compilation
This compilation
This is a compilation of the Health Insurance (Section 3C Diagnostic Imaging Services – National Lung Cancer Screening Program) Determination 2025 that shows the text of the law as amended and in force on 1 July 2025 (the compilation date).
The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.
Uncommenced amendments
The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the Register for the compiled law.
Application, saving and transitional provisions for provisions and amendments
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
Editorial changes
For more information about any editorial changes made in this compilation, see the endnotes.
Modifications
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the Register for the compiled law.
Self-repealing provisions
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Contents
1 Name
2 Commencement
3 Authority
4 Definitions
5 Treatment of relevant services
6 Eligibility for services
7 Limitation on services
Schedule 1 — Relevant services
1 Items in Subgroup 14 of Group I2
Endnotes
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Endnote 5—Editorial changes
1 Name
This instrument is the Health Insurance (Section 3C Diagnostic Imaging Services – National Lung Cancer Screening Program) Determination 2025.
2 Commencement
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information |
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. The whole of this instrument | 1 July 2025. | 1 July 2025 |
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
3 Authority
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
4 Definitions
(1) In this instrument:
Act means the Health Insurance Act 1973.
bulk‑billed has the meaning given by the Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020.
computed tomography or CT has the meaning given by the Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020.
pack-years means the number of cigarettes a person smoked per day multiplied by the number of years the person has smoked.
relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under the National Health Act 1953, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in a Schedule to this instrument.
remote location has the meaning given by the Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020.
smoke or smoking means the action of inhaling and exhaling cigarette tobacco and includes packaged cigarettes and roll-your-own cigarettes (rollies). It does not include other forms of tobacco or nicotine smoking or consumption, such as vaping.
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
Note: A number of expressions used in this instrument are defined in the Act, including the following:
clinically relevant service;
diagnostic imaging services table;
item;
professional service.
5 Treatment of relevant services
For subsection 3C(1) of the Act, a relevant service, provided in accordance with this instrument and as a clinically relevant service, is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a general medical service; and
(b) there were an item in the diagnostic imaging services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule 1 in relation to the service.
6 Eligibility for services
(1) A patient is eligible to receive a service specified in Schedule 1 to this instrument if they:
(a) receive a request for the service as part of the National Lung Cancer Screening Program when they are aged between 50 years and 70 years and 364 days; and
(b) are asymptomatic (show no signs or symptoms of lung cancer); and
(c) currently smoke or have quit smoking in the past ten years; and
(d) have a history of cigarette tobacco smoking of at least 30 pack-years.
(2) If a patient has been assessed as eligible to receive a service described in items 57410 and 57413, the patient remains eligible to receive these services until they turn 71 years and 364 days.
7 Limitation on services
For the purposes of MBS items 57410 and 57413, clause 2.2.1(1)(a) of the diagnostic imaging services table does not apply if the services are provided as part of a mobile screening service provided more than 30 kilometres from a hospital that provides computed tomography radiology service or fixed radiology infrastructure.
Schedule 1 — Relevant services
1 Items in Subgroup 14 of Group I2
Group I2—Computed Tomography |
Column 1 Item | Column 2 Description | Column 3 Fee ($) |
Subgroup 14—Low dose computed tomography |
57410 | Low-dose computed tomography (low-dose CT) scan of chest for the National Lung Cancer Screening Program, without intravenous contrast medium, where: (a) the request states that the patient’s eligibility to participate in the National Lung Cancer Screening Program has been assessed and confirmed; and (b) the service utilises the agreed nodule management protocol for standardised lung nodule identification, classification and reporting; and (c) the service is bulk-billed (R) (Anaes.) | $338.75 |
57413 | Low-dose computed tomography (low-dose CT) scan of chest for the National Lung Cancer Screening Program, without intravenous contrast medium, where: (a) the service is: (i) performed as a clinical follow-up within 2 years of a screening low-dose CT scan of MBS item 57410; or (ii) performed as a clinical follow-up to a previous interval low-dose CT scan of MBS item 57413 linked to MBS item 57410; and (b) the service utilises the agreed nodule management protocol for standardised lung nodule identification, classification and reporting; and (c) the service is bulk-billed (R) (Anaes.) | $338.75 |
Endnotes
Endnote 1—About the endnotes
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Abbreviation key—Endnote 2
The abbreviation key sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
Editorial changes
The Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.
If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.
Misdescribed amendments
A misdescribed amendment is an amendment that does not accurately describe how an amendment is to be made. If, despite the misdescription, the amendment can be given effect as intended, then the misdescribed amendment can be incorporated through an editorial change made under section 15V of the Legislation Act 2003.
If a misdescribed amendment cannot be given effect as intended, the amendment is not incorporated and “(md not incorp)” is added to the amendment history.
Endnote 2—Abbreviation key
ad = added or inserted | o = order(s) |
am = amended | Ord = Ordinance |
amdt = amendment | orig = original |
c = clause(s) | par = paragraph(s)/subparagraph(s) |
C[x] = Compilation No. x | /sub‑subparagraph(s) |
Ch = Chapter(s) | pres = present |
def = definition(s) | prev = previous |
Dict = Dictionary | (prev…) = previously |
disallowed = disallowed by Parliament | Pt = Part(s) |
Div = Division(s) | r = regulation(s)/rule(s) |
ed = editorial change | reloc = relocated |
exp = expires/expired or ceases/ceased to have | renum = renumbered |
effect | rep = repealed |
F = Federal Register of Legislation | rs = repealed and substituted |
gaz = gazette | s = section(s)/subsection(s) |
LA = Legislation Act 2003 | Sch = Schedule(s) |
LIA = Legislative Instruments Act 2003 | Sdiv = Subdivision(s) |
(md) = misdescribed amendment can be given | SLI = Select Legislative Instrument |
effect | SR = Statutory Rules |
(md not incorp) = misdescribed amendment | Sub‑Ch = Sub‑Chapter(s) |
cannot be given effect | SubPt = Subpart(s) |
mod = modified/modification | underlining = whole or part not |
No. = Number(s) | commenced or to be commenced |
Endnote 3—Legislation history
Name | Registration | Commencement | Application, saving and transitional provisions |
Health Insurance (Section 3C Diagnostic Imaging Services – National Lung Cancer Screening Program) Determination 2025 | 9 May 2025 (F2025L00571) | 1 July 2025 (s 2(1) item 1) | |
Health Insurance Legislation Amendment (2025 Measures No. 3) Determination 2025 | 27 June 2025 (F2025L00773) | Sch 1: 1 July 2025 (s 2(1) item 2) | — |
Endnote 4—Amendment history
Provision affected | How affected |
s 2..................... | rep LA s 48D |
Schedule 1 | |
s 1..................... | am F2025L00773 |
| ed C1 |
Endnote 5—Editorial changes
In preparing this compilation for registration, the following kinds of editorial change(s) were made under the Legislation Act 2003.
Section 1 of Schedule 1 (table subheading)
Kind of editorial change
Give effect to the misdescribed amendment as intended
Details of editorial change
Schedule 1 item 1 of the Health Insurance Legislation Amendment (2025 Measures No. 3) Determination 2025 provides as follows:
1 Section 1 (table subheading)
After “Subgroup 14” insert “—Low dose computed tomography”.
The heading to item 1 refers to “Section 1” rather than “Section 1 of Schedule 1”.
This compilation was editorially changed to apply the amendment to the table subheading in section 1 of Schedule 1 to give effect to the misdescribed amendment as intended.